Outcomes and Satisfaction with Single-Shot of Spinal Analgesia for labor pain relive among women in Sana'a City (A Retrospective descriptive study)
DOI:
https://doi.org/10.65693/irss.2025.v6i1.272Keywords:
Satisfaction, Outcomes, Painless Labor, Single-Shot of Spinal Analgesia, Yemeni WomenAbstract
Background: Pain labor analgesia technique is considered as one of the most methods to pain relief, where a very specific drug concentration is used in the back to reduce the pain. Aim: The objective of this study was to evaluate the satisfaction and outcomes of painless labor with single-shot of spinal analgesia among Yemeni women in Sana'a city, Yemen. Methodology: A descriptive retrospective study was conducted among the women over the two years period between (26 Feb 2023 and 28 Des 2024) in some private hospitals in Sana'a, city. The simple was used non-random purposive sampling technique that included a total of 104 women by questionnaire & electronic questionnaire. The satisfaction scoring options that used was (Unsatisfied), (High Unsatisfied), (Neutral), (Satisfied), (High Satisfied). (SPSS V 28.0) was used for statistical analysis of data. All statistical testing was two-sided with a significance P <= 0.05. Results: A study was conducted on women's satisfaction with painless labor using single-shot spinal analgesia in Sana'a, Yemen, where 122 questionnaires were distributed and 104 were completed, yielding a response rate of 86%. The study revealed a high level of satisfaction among women regarding painless labor. It also found a significant relationship between satisfaction and certain variables, such as the hospital's name and the number of previous deliveries. The majority of participants (89.5%) were urban residents, with an average age of 26 years (standard deviation = 0.91). The age range was 20 to 40 years. In terms of education, 64.4% of the women had completed secondary education, while 23% held university degrees. The study found high satisfaction (over 87.40%) among women with painless labor using single-shot spinal analgesia, particularly regarding the information provided by the anesthesiologist, the effectiveness of pain relief during labor and delivery, and the support received from midwives and doctors. Women were especially satisfied with the effectiveness of the spinal injection in relieving pain during the pushing stage of labor. Conclusions and recommendations: We concluded that single-shot of spinal analgesia with combination Heavy Marcaine 3-5mg (0.5-1ml), 25mcg fentanyl, 20mcg Adrenaline and 0.5ml normal saline provide effective labor pain control for Yemeni women. And maternal satisfaction with this technique was very high. Also fast, safe and easy technique can perform by anesthesiologist or anesthesia technician. And should be recommended for routine obstetric pain control in Yemen, we also recommend that the Ministry of Health disseminate awareness and health education about this technology providing a sterile area in case occur any complications and require a cesarean section.References
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